Usually means: Circumstances determined by birth alone.
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We found 4 dictionaries that define the word accident of birth:

General (4 matching dictionaries)
  1. accident of birth: Merriam-Webster
  2. accident of birth: Wiktionary
  3. Accident Of Birth, Accident of Birth (album), Accident of Birth (song), Accident of Birth, Accident of birth: Wikipedia, the Free Encyclopedia
  4. accident of birth: Merriam-Webster

Definitions from Wiktionary (accident of birth)

noun:  (idiomatic) A fact, situation, or personal characteristic, which may be desirable or undesirable, resulting from the circumstances into which a person was born, and which is therefore entirely beyond their control.

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